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Population Health
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Accepted chart labels
Human-confirmed labels that stay on the chart after a cohort membership is accepted.
0, active
No accepted chart labels yet. Cohort memberships and review tasks still appear below before anything is accepted.
Cohort memberships
Patient-list membership from saved cohort runs. These are source lists, not task status or accepted chart labels.
1, current
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status never smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
5
New, in review, or accepted tasks
Last visit
2026-04-09
Appointment or derived chart contact
Latest A1c
No A1c
Missing structured value
Latest BP
115 mmHg / 71 mmHg
2025-04-16
Extracted signals
0
Optional text signals
Chart volume
27
4 notes, 0 reports
A compact view of what needs attention before opening the full imported record.
Review priority
1
active signal
5
0
0
Review these before relying on the imported record clinically.
Review needed
5 open flags
Open clinical review items need status, assignment, or closure.
Active problems
1
Chronic low back pain
active
Active medications
3
Hydromorphone
1 mg q6h PRN
Oxycodone/acetaminophen
5/325 mg q6h PRN
Naproxen
500 mg BID PRN
AI-CDS actions selected from Flags & Tasks. These stay visible on the chart for follow-up.
0, selected
No selected follow-up actions
Select AI-CDS actions from Flags & Tasks to keep them visible on this chart.
Saved population-health queue work for this patient: calls, recalls, flags, snoozes, exclusions, and completions.
Optional text-derived evidence extracted beside the imported chart. Each signal stays traceable to source text.
No extracted signals for this patient
Reprocess an import with text enrichment to attach suggested evidence to this patient record.
Most recent values are summarized here so the timeline can stay readable.
Recent chart, workflow, AI, cohort, and audit events shown in the user's local time.
13, more source rows below
Latest narrative evidence, clipped for scanning.
Recent report headers and excerpts.
No reports imported
Audit view for imported records. Kept collapsed so the working chart remains usable.
PHM saved action
PHM action: PNEUMOCOCCAL_REVIEW_DUE
status=outreach_planned | imported | next review=2026-06-23 | Review evidence for Pneumococcal immunization review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: INFLUENZA_RECALL_DUE
status=outreach_planned | imported | outreach=email 2026-04-30 12:30 | next review=2026-08-01 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
PHM saved action
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
PHM saved action
PHM action: NARRATIVE_OA_WITHOUT_PROBLEM
status=needs_review | imported | outreach=portal 2026-02-12 14:15 | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient.
PHM saved action
PHM action: OPIOID_MONITORING_DUE
status=new | imported | outreach=phone 2026-02-11 09:00 | next review=2026-06-09 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status never smoker form | probable
phm_workflow
PHM action: PNEUMOCOCCAL_REVIEW_DUE
status=outreach_planned | imported | next review=2026-06-23 | Review evidence for Pneumococcal immunization review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: INFLUENZA_RECALL_DUE
status=outreach_planned | imported | outreach=email 2026-04-30 12:30 | next review=2026-08-01 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
phm_workflow
PHM action: NARRATIVE_OA_WITHOUT_PROBLEM
status=needs_review | imported | outreach=portal 2026-02-12 14:15 | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient.
phm_workflow
PHM action: OPIOID_MONITORING_DUE
status=new | imported | outreach=phone 2026-02-11 09:00 | next review=2026-06-09 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
clinical_flag
Pneumococcal immunization review
new | medium | active_cohort_automation | Older adult with no pneumococcal immunization evidence in the synthetic chart.
clinical_flag
Influenza immunization recall
new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Age-eligible screening missing
in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
Narrative OA evidence missing from problem list
in_review | medium | clinical_note | Clinical note describes osteoarthritis-like hand symptoms but there is no structured OA problem-list entry.
clinical_flag
Opioid monitoring review due
in_review | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
note
SOAP note
MSK review: chronic hand pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
appointment
chronic disease review
completed
note
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated.
SOAP note
MSK review: chronic hand pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated.
SOAP note
Pain follow-up for chronic low back pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 7/10.
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
Pneumococcal immunization review
Older adult with no pneumococcal immunization evidence in the synthetic chart.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Age-eligible screening missing
Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
Narrative OA evidence missing from problem list
Clinical note describes osteoarthritis-like hand symptoms but there is no structured OA problem-list entry.
Opioid monitoring review due
Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
Bmi
27.9 kg/m2
2026-04-09Diastolic Bp
71 mmHg
2025-04-16Systolic Bp
115 mmHg
2025-04-16Smoking Status
never smoker
2025-03-14Diastolic Bp
92 mmHg
2025-01-29Systolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status never smoker form | probable | |
phm_workflow | PHM action: PNEUMOCOCCAL_REVIEW_DUE | status=outreach_planned | imported | next review=2026-06-23 | Review evidence for Pneumococcal immunization review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: INFLUENZA_RECALL_DUE | status=outreach_planned | imported | outreach=email 2026-04-30 12:30 | next review=2026-08-01 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=needs_review | imported | next review=2026-06-23 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: NARRATIVE_OA_WITHOUT_PROBLEM | status=needs_review | imported | outreach=portal 2026-02-12 14:15 | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: OPIOID_MONITORING_DUE | status=new | imported | outreach=phone 2026-02-11 09:00 | next review=2026-06-09 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient. | |
clinical_flag | Pneumococcal immunization review | new | medium | active_cohort_automation | Older adult with no pneumococcal immunization evidence in the synthetic chart. | |
clinical_flag | Influenza immunization recall | new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Age-eligible screening missing | in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | Narrative OA evidence missing from problem list | in_review | medium | clinical_note | Clinical note describes osteoarthritis-like hand symptoms but there is no structured OA problem-list entry. | |
clinical_flag | Opioid monitoring review due | in_review | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation. | |
note | SOAP note | MSK review: chronic hand pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning. | |
appointment | chronic disease review | completed | |
care_element | bmi | ||
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
note | SOAP note | Pain follow-up for chronic low back pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 7/10. | |
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
appointment | periodic health review | booked | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | smoking_status | never smoker | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
appointment | periodic health review | completed | |
care_element | immunization | Influenza vaccine documented | |
appointment | periodic health review | completed | |
appointment | periodic health review | completed |
132 mmHg
2025-01-29Immunization
Influenza vaccine documented
2023-11-15